Experience of a cognitive behavioural therapy and mindfulness intervention for men with a history of traumatic brain injury in prison: a thematic analysis

Abstract

Interventions to improve awareness of brain injury and support the development of coping strategies may help reduce potential longer-term impacts. A 10 session, group-based, cognitive behavioural therapy (CBT) and mindfulness intervention was conducted in prison, with adult men reporting a history of brain injury. Following completion of the intervention, 17/36 (47.2%) participants were interviewed about their experiences of TBI and the intervention. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Four themes were identified: the journey into jail, learning from others, new understandings and developing new ways of coping. The results revealed that the intervention improved self-understanding, enabling them to be more accepting of their difficulties and experiencing hope through learning new ways of responding to life situations. Increased breaks, a focus on wider TBI implications and a follow-up session were suggested improvements.